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Stephen George Perros

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as STEPHEN PERROS.

Based on the most recent information from CMS, provider Stephen George Perros is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1447816517
Provider Type
Individual
Full Name
Perros, Stephen George
Gender
Male

Sole Proprietor
Yes
Enumeration Date
5/14/2019
Last Updated
10/14/2019

Contact Information

Practice Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-0111

Unlisted Fax

Mailing Location

22 Bramhall St, Portland, ME 04102-3134

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA1996 Maine

Stephen George Perros

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sheelar, Megan

Habif, Maureen G

Jones, Rhianna

Lebourdais, Laura Ann

Zimmerman, Ryan C

Bohrmann, Erich J

Wagman, Diana H

Beauregard, Meredith

Blessington, Steven C.

Carson, Patrick S